Organization Active NPI

Imgi Geriatrics LLC

  • Nursing Facility/Intermediate Care Facility
  • Gainesville, FL
National Provider Identifier
1063604510
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
L07000024037 Issued in FL
Legal business name
IMGI GERIATRICS LLC
Practice address
2330 SW Williston Rd
Suite # 2616
Gainesville, FL 32608-4000
Phone
(352) 548-4801
Fax
(352) 548-4801
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sally B Slaff, BSMT(ASCP)
Title
President
Phone
(434) 572-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X L07000024037 FL Primary

Addresses

Primary practice location

2330 SW Williston Rd
Suite # 2616
Gainesville, FL 32608-4000

Mailing address

2330 SW Williston Rd
Suite # 2616
Gainesville, FL 32608-4000
Phone (352) 548-4801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1063604510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SW WILLISTON RD",
            "address_2": "SUITE # 2616",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084000",
            "telephone_number": "352-548-4801",
            "fax_number": "352-548-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SW WILLISTON RD",
            "address_2": "SUITE # 2616",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084000",
            "telephone_number": "352-548-4801",
            "fax_number": "352-548-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMGI GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "SLAFF",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-572-1885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSMT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "L07000024037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.